MINCI SEKOU MOODY DR.
NPI 1083378343
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA
About Minci Sekou Moody Dr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINCI SEKOU MOODY DR. (NPI 1083378343) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95020547) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Minci Sekou Moody Dr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Minci Moody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90011
- Reassigned Medicare billing, California enrollment
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Minci Moody's NPI number?
The NPI number for Minci Moody is 1083378343. It was assigned to this individual provider in the NPPES registry on October 23, 2021. The provider is also known as Minci Sekou Stenson.
Where is Minci Moody located?
Minci Moody practices at 4425 S Central Ave, Los Angeles, CA 90011. The listed phone number is (323) 908-4200.
What is Minci Moody's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Minci Moody enrolled in Medicare?
Yes. Minci Moody is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Minci Moody's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Minci Moody reassigns Medicare benefits to South Central Family Health Center (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Minci Moody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Minci Moody was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Minci Sekou Moody, DR. · NPI 1083378343
Psychiatric/Mental Health physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 23, 2021.
## Identity
- **NPI:** 1083378343 (Entity type: Individual)
- **Enumerated:** October 23, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95020547 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4425 S CENTRAL AVE, Los Angeles, CA 90011-3629
- **Phone:** (323) 908-4200 · **Fax:** (323) 432-4877
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** South Central Family Health Center (NPI 1396891909, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083378343) · Data from the CMS NPPES public registry.